On Notoriety, Fame and Making a Difference

Notoriety

*Picture from likesuccess.com

 

Another year, another FDIC in the books. I didn’t attend this year. Maybe I will again, maybe not. The reasons are perhaps best saved for another post when I feel like committing professional suicide. But, in watching this years FDIC through the lens of social media I think I made the right decision to stay home this year. I may have gotten in trouble.

You see, there is great training to be had once a year in Indy. There is knowledge to be had and insights to be gained. There are also colossal wastes of time. And it is difficult to know the difference from reading a course title and description. Heck, sometimes even knowing the instructor personally backfires as a litmus test for whether or not to invest one’s time in a classroom or HOT class. I guess it is what it is. Not everyone is a great instructor ( even at the Fire Department Instructor’s Conference [that’s what it means in case some of you didn’t know]) and not every class is ground shaking and world changing. The truth of the matter is it’s a huge business. Either for an existing business or for one that hopes to get going. And for many instructors that teach at FDIC it is the latter that draws them.

I admit that at one time it was a goal of mine to teach at the Super Bowl of fire service training, as many have described it. I wanted to be known, respected, rub elbows with the biggest of the big names. All of that has since changed for me, personally. I no longer desire any of that. There are many that do and I guess that’s ok, depending on your motivation. Now, I don’t begrudge anyone making a buck or two. I actually think it’s a God-given, American right to do so. And if a gig at FDIC makes your side-business take off, more power to you. Or if your side-business leads you to a gig at FDIC, more power to you. But I guess I’d ask what is that side-gig? Is it providing good, solid, foundational  training? Is it trying to start a movement that corrects an issue in the industry? Is it providing a support service for those of us in the industry? Or is it providing a side-show? Douchebaggery, I believe one post I saw described it as. Is it dressing up in silly costumes and parading around drumming up business for yourself? Is it stumping for any manufacturer of any thing (often dressed up in that silly costume)? Is it giving out as many of your t-shirts/ challenge coins/ stickers/ whatevers as possible so your “brand” gets out there more? Seemed like it by much of what I saw.

If you’re providing something back to the fire service I guess handing out all that stuff is ok. Obviously manufacturers do it in order to convince you they are the best provider of your next fire apparatus/ SCBA/ bunker gear/ whatever. And if you provide training through classes/ books/ videos/ whatever I get it too. But it’s these individuals and organizations that provide nothing back but a website or brand that represents what? Themselves? That they, the individual, is the greatest dragon slayer/ blog writer/ postulator/ whatever. I’ll admit, when I was putting a lot of effort into this blog and was about to attend FDIC I thought about making a t-shirt to advertise the blog. Figured I’d wear it around and maybe get recognized, maybe network a bit, maybe draw new readers to the site. But I couldn’t do it. It felt…. I dunno…. greasy or something to me. Because, you see, I don’t really provide anything back to the fire service. I write my opinions, provide some thoughts, maybe even a little bit of actual training that might help someone somewhere along the line. But that’s really it. This blog is an outlet for me, not a business.

Notoriety, as defined by Merriam-Webster Dictionary, is; the condition of being famous or well-known especially for something bad : the state of being notorious. Many people use this word incorrectly and have a misunderstanding of its meaning. They confuse notoriety with fame, which is defined as  the condition of being known or recognized by many people. See that subtle difference there? Notoriety gets you fame for doing something dumb, usually. Fame can also get you notoriety, also after doing something dumb. So, are you walking around FDIC feeling all smug because of your notoriety? Whoops. Or are you pretty secure in your fame, until it turns into notoriety? Also, whoops.

Here’s what I’ve decided for me personally. I can have the type of impact I want to have for my fire service career by training the probies that come into my department, by being a good instructor in our Training Division, by continually improving myself and learning and by passing on my knowledge and experiences. I don’t need FDIC to do that. I can do that right here at home in my department and the departments in the general area that train with us. I may write something here or share something on the Facebook page that helps someone. That’s my reward. That’s what I’m looking to do. I’m looking to make a difference, not sell a product or an image.

If one of your goals is to teach at FDIC or any other trade conference or show ask yourself why you are aspiring to that. Fame? Notoriety? To make a difference? Only you know for sure.

Be safe.

Chris

Unintended Consequences

Unintended Consequences

*Image from genewhitehead.com

 

Lately I have seen several notifications of testing and recruitment initiatives for fire departments across the nation that are specifically aimed at veterans of our armed services. While I think this is a great thing on the surface I can’t help but wonder if there won’t be unintended consequences that come along with hiring our vets. Now, before you leave me a nasty comment and unsubscribe from the blog let me explain.

First and foremost you won’t find a bigger supporter of our military men and women than me. My family has a strong history of service in many branches of the U.S. military and I, myself was headed to the Navy before life circumstances changed things. Two buddies and I even showed up at the local Marine Corps recruiting office the morning after Gulf War Part I began (eternal thanks to the Gunnery Sergeant who asked if we really wanted to be Marines or if we were simply signing up because of what had begun the night before and then going on to explain that it would be over before we were out of Boot Camp). I strongly believe every American owes a debt of gratitude to our service members, past and present. It is in that same vein that I like to see these recruitment initiatives targeting retired service members. Anything that can help our men and women who are transitioning back to civilian life find a job, a purpose and income to support themselves and their families is worth backing in my book. However, when we look at military veterans and the fire service there is something that immediately jumps out to me. A parallel that perhaps others aren’t seeing in their exuberance to help out our retired soldiers, sailors, airmen, marines and coasties. That parallel would be suicide.

Just this past week alone (August 24, 2015 – August 30, 2015) 7 firefighters and paramedics committed suicide according to the Firefighter Behavioral Health Alliance FaceBook page. While I do not have weekly, monthly or yearly breakdowns for military suicides, according to the Military Suicide Report 100,000 military veterans have committed suicide since September 11, 2001. Let that number sink in. 100,000! And that does not include the active duty military members that choose to end their own lives. According to a Department of Defense report cited in the Military Times on suicide rates, the 2013 numbers (most recent cited) were 259 total active duty suicides across all service branches with another 220 in the Reserves and Guard. 479 service members in 2013 alone.

Behavioral health has been a hot topic in the fire service for some time now. Depression, PTSD, anxiety and alcohol and drug (prescription or illegal) dependency are all common problems facing todays fire and EMS professionals. Some of the factors that cause these issues to take hold cannot be avoided. They are hazards of our chosen profession. Just as we cannot pick and choose which calls we will answer because of what we may have to see and deal with, neither can the soldier pick and choose the patrol or mission to go out on. But the commonality between the two is that the experiences, sights, sounds, smells and memories that both firefighter and soldier are exposed to can lead to permanent imprints on each service members life. The risk factors and the resulting effects and coping methods are the same for both public safety employees and service members. The arenas are just different. So why then would we want to recruit our veterans for a job that is going to place the same stresses and risk for mental and emotional damage upon them? For some very good reasons, it turns out.

The fire service is a paramilitary organization with rank structure, designated jobs, a common mission, unit designations and camaraderie. Things that every veteran would recognize and be comfortable in the midst of. The fire service is a stressful environment in which members are expected to perform their jobs well and to complete whatever mission is before them. Again, something any veteran can relate to. Many skills developed in the military are desirable in the fire service as well. From leadership skills, to mechanical skills, to computers and radios, to tactics and strategy a veteran has a unique advantage over many civilian recruits. Besides being a way that the American home front can repay its debt to our soldiers it just makes sense to recruit them. There is a risk, however. In recruiting veterans we have to be aware of the parallels I noted above. Does this mean we should not recruit them? Absolutely not! I completely believe we should. But in so doing I think that fire departments across the nation must be prepared to take a step that until now has never been taken in the hiring process specifically and continue this throughout every members career.

I was once told by a Chief officer that no one in the history of that particular department had ever passed the mandatory psych exam prior to being hired. He went on to say that everyone was “off” in some way and that the psych merely looked for major warning flags that indicated propensity to violence, addiction, theft and other major issues. If some of these red flag issues were identified in an applicants testing they were failed. It makes sense to me, we all have to be a little “off” to voluntarily sign up for some of the things we know we will be getting into as fire and EMS professionals. But now that we are actively recruiting a portion of the population that has already been identified as having some “red flag issues” is merely “bouncing” them from a failed psych test the correct and moral thing to do? I would argue no and this is where I think the American fire service can perhaps have a positive impact on veterans identified as less than optimum employees but human beings nonetheless.

I would propose that fire departments begin to set in place a safety net of sorts for those veterans that do not pass psychiatric exams prior to hiring. Instead of receiving a form letter in the mail or a cold, disembodied voice on the other end of a phone telling them they failed and thus will not be hired, how about a meeting with a mental health professional to discuss the findings of the exam and what steps could be taken, if not already in place, to help this individual out? How about already having resources in place for the vet to take advantage of? Perhaps some vets will already have begun counseling or other forms of treatment on their own. Great! But as we have all seen with the recent VA scandals many simply don’t have access to these needed resources. They are a number in a long line of numbers waiting on bureaucratic red tape and policy. Set up partnerships between these resources and your department to work with both prospective candidates and your existing employees. Can we or should we offer this type of help to every individual who fails a psych? Perhaps the right answer is yes, but how about we start with those who have already proven all they need to prove to any of us?

Hopefully by now you understand that it is not that I don’t wish to see veterans serving along side of us but that I want to ensure that those that do and even those that tried to, have some sort of access to mental health resources. This is a deep subject, with many off-shoot conversations that can be had. It delves into mental health after employees are hired and have been serving. It branches into the understanding and lack thereof of many of todays administrators over the issue of mental health. This one article was not meant to address every issue. But as I saw these recruitment initiatives popping up I couldn’t help but see the potential risk this otherwise awesome opportunity posed to our nation’s warriors. I thought maybe if I was thinking it someone else was too and maybe if I wrote about it someone might see it and decide they could do something to make things better. I know there are a few chief officers who follow me, a couple legal counsels and many firefighters and EMS pros that can have influence in their organization. Maybe no one has thought of this. Maybe you guys can push it forward and have a positive impact.

Until next time,

Stay safe,

Chris

Fire Service Lemmings

lemming

 

Know what pisses me off? Well, yeah, that. That too. Yep, that. Ok, smart alecks how about I just tell you what pisses me off this particular time? Firefighters who don’t read. Which wouldn’t be you guys reading this because, well, you’re reading this and I don’t have a lot of pictures on my stuff.

In particular I hate firefighters who look at a picture and don’t take the time to read an associated article, post or what have you, and then comment on said picture. I had been thinking about this post for other reasons but then went to Facebook to do some mindless tooling around. I came cross Bill Carey’s page on which he had shared a photo from the Fire Engineering Training Community and the article associated with it, see below.

bill carey fb 2

Here’s the really, really ironic part. The article that is associated with Bill’s FB post is written by Lt. Brian Bastinelli and is entitled 1/250th of a Second. It talks about exactly what I’m talking about, how a photo is 1/250th of a second in time and we don’t know for certain what occurred before or after that captured moment in time. Lt. Bastinelli’s article can be found here. I highly encourage you to read it, it’s very good. So back to Bill’s FB post. At the time of this post there were 45 comments on the photo Bill posted. Exactly 41 of them were commenting on the hydrant flushing operation, the lack of hydrant maintenance or the argument over whether or not this was a real job and why the Engineer doesn’t have gear on. The fact that Bill was commenting on flushing your mind and doing some research on something and posting a picture to illustrate that  was completely missed by 91-freaking-percent of the people that chose to comment. Bill’s a very smart guy but I doubt even he meant to illustrate his and Lt. Bastinelli’s point so succinctly. SMDH.

This fire service ADD doesn’t just include photos and the comments that are made after them. Oh no. Lest we be accused of singling out one particular type of media we also apply it to the written form of communication too. LODD reports, NIST and UL studies and other forms of the more classic form of written communication fall prey to this abomination as well. Most often this comes from firefighters who only read a headline, or a summation of an entire report and draw conclusions from that little bit of information. Take the transitional attack and flow path arguments that are so en vogue right now. The research that is cited in many of these arguments is often times so bastardized that I find myself constantly questioning whether or not I missed something when I read the different publications because what is being spewed as gospel wasn’t in the bible I read.

Take some time to make yourself a better, more informed firefighter and actually read the reports. Do some research into a picture you’re seeing and have an issue with. Maybe there is an explanation as to how or why something is being done in a particular fashion that you aren’t aware of from looking at 1/250th of a captured second. Quit sounding like an idiot and making us all look bad when you type something without understanding or comprehension.

Stay Safe

Chris

On Robin Williams and Canada

 

 

 

 

 

 

robin-williams

 

canadien

 

 

 

 

 

 

 

 

 

 

As the world reacts to the news that actor/comedian Robin Williams has passed in what is being reported as a possible suicide, the event is bringing renewed attention to the issue of depression. At the same time a recent article in the Global News, an on line Canadian news paper, highlights the recent spate of suicides among Canadian first responders. You could look at this post as having nothing much to do with you if you aren’t an extremely successful and well loved Hollywood celebrity or if you don’t happen to hail from the Maple Leaf. However, if you are here and reading this odds are you are a first responder, and it has everything to do with you.

Robin Williams had been very candid in the press with his on-going struggles with depression and drug and alcohol addiction. Williams claimed he had never been formally diagnosed with depression or bipolar disorder but that he would get extremely down and sad for periods of time, which usually resulted in him turning to drugs or alcohol as self-treatment. While the symptoms of depression and/or bi-polar disorder could have actually contributed to some of his success with his high-energy brand of comedy (the manic up-side), the downside of the disease(s) were clearly worse.

So what does this have to do with Canadian first responders? It just so happens that Global News published a report on July 17, 2014 discussing 13 suicides among police officers, firefighters, EMT/Paramedics, dispatchers and jail staff in 10 weeks. Many, if not all, of these suicides are being attributed to the effect of PTSD, associated depression and other mental illness in these public servants.  This is not just a Canadian issue, as we all should know. PTSD and depression know no international boundaries and the common job we all share make us very susceptible to the diseases.

Many of you know that I struggle with depression. If you did not you can read about my history and diagnoses in a post I wrote about it here. I am not ashamed to say this. More of us need to be unashamed about the fact that we need help with some of the things we witness due to this job. The stigma of mental illness needs to be crushed if any real progress will be made toward lowering the number of public servant suicides. Our brothers and sisters need to feel safe in coming forward with their struggles before help is sought. Looking weak, fearing further isolation from their co-workers, worrying about job security or re-assignment, and a feeling of needing to deal with it on their own because they deal with everyone else’s problems are just some of the reasons “we” don’t seek help and take advantage of the resources that are many times already available to us.

Discussing mental illness isn’t as sexy as talking about flow path. It isn’t as glamorous as rallying support for the brothers and sisters succumbing to the cancers killing them from working at Ground Zero. But it is killing us the same as any other danger we face. It is something we can do something about if we all just have the courage to bring it out of the darkness and into the light.

Making Things Safer at the Scene of a Traffic Incident

TIM Logo.2

At the end of June I was fortunate enough to attend the train-the-trainer program at the National Emergency Training Center at the National Fire Academy for the National Traffic Incident Management program. That’s a lot of nationals in one sentence! And that’s the idea of this program. One, unified approach to how we as emergency responders deal with traffic incidents no matter if you’re in Washington state, Oklahoma or Maine. The goal is to enhance responder safety by teaching the participant the major factors and causal affects of injury and fatality secondary accidents while operating at the scene of an incident on the roadway. This class is targeted at police officers, firefighters, EMS, dispatchers and towing professionals all across the country in order to give everyone the tools they need to operate in a more safe manner on any type of roadway, not just Interstates or super-highways.

Three injury crashes occur every minute in the United States, putting police, fire, highway workers, tow truck drivers, and other incident responders potentially in harm’s way every day. Congestion from these incidents can generate secondary crashes, increasing traveler delay and frustration. The longer responders remain at the scene, the greater the risk they, and the traveling public, face. Every minute clearing an initial accident increases the chance of a secondary crash by 2.8 percent.

The National Traffic Incident Management (TIM) Responder Training program is building teams of well-trained responders who can work together in a coordinated manner, from the moment the first emergency call is made. They learn the correct deployment of response vehicles and equipment, how to create a safe work area using traffic control devices, and techniques to speed up accident clearance.

The program is sponsored by the Federal Highway Administration, which designed the course as part of the second Strategic Highway Research Program (SHRP2) to improve highway safety and reduce congestion caused by crashes.

The curriculum is based on extensive and detailed research conducted with TIM responders across the country and is based on a train-the-trainer approach. The FHWA-led 10-hour course builds a team of instructors within each state, region, or agency. They, in turn, train their colleagues using this innovative curriculum. Shorter, four-hour courses and one-hour training modules (which became available online in late spring 2014) are used to cascade the training and make it available to all responders. Training modules are flexible and can be modified to fit state and local regulations or practices.

The TIM Training program has been endorsed by key agencies involved in incident response, including the International Association of Chiefs of Police, State and Providential Divisions (IACP); International Association of Fire Chiefs (IAFC); American Association of State Highway and Transportation Officials (AASHTO); National Volunteer Fire Council (NVFC); and the Towing and Recovery Association of America (TRAA).
More than 40,000 responders have been trained across the country using this curriculum. The results have been very positive. Several states are now requiring their state police or highway patrol officers to take the training. To generate the strongest teams, representatives from all responder groups train together, including police, fire, sheriffs, emergency medical services, dispatchers, tow professionals, departments of transportation, and public works.

This class was some of the best training I have had in a while. The cause is also very personal to me. My response district includes 2 Interstate highways, 4 State highways and several large regional roadways. My department as well as the local police and sheriff’s department have had several close-calls, including me personally, and a few accidents as the result of secondary crashes while operating on the scene of a primary incident. Thankfully no serious injuries or deaths have resulted. If it was one thing I learned from this class, however, that could just be a matter of time unless we start employing some different tactics regarding to operating in the roadway.

If anyone is interested in hosting training for your department, group of departments or group of mutual-responders you can contact me through the website and I’d be more than happy to come and put a class on for you or TIMTraining@dot.gov.

Like Tiger Schmittendorf says, “The most dangerous job we do. The job we do most often.”

Until next time be safe out there,

Chris

Extraordinary

Extraordinary.

Ladies and Gents, Brothers and Sisters, do yourself a favor and go read this very emotional and well written piece by an active ED RN. Although she is writing from that perspective and commenting on her co-workers this could easily be applied to so many of our co-workers in the Fire/EMS Service. Simply replace your mental image of a hospital Emergency Department with the scenes you have responded to and the co-workers you serve with while reading.

OH MY ACHING HEAD

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Concussion. It’s been a huge concern and media buzzword over the last couple years. Much of the discussion and attention has been brought about by several high-profile athletes having taken their own lives after dealing with what they believed were the side-effects of numerous concussions they had suffered during their playing careers, most notably Junior Seau and Dave Duerson. Both former NFL stars shot themselves in the chest so that their brains could be studied after their deaths in the hope of preventing or treating others with chronic traumatic enchephalapothy (CTE). CTE is being categorized as a degenerative disease caused by repeated brain trauma over a period of time, usually years, that results in a list of symptoms that leads many of its victims to live lives that are almost unrecognizable as compared to their lives before CTE. The most common cause of CTE is repeated concussion.

I think I was about 10 years old or so. Fifth or sixth grade, maybe. We were playing floor hockey in P.E. class in the poured-concrete with (probably asbestos) tile over the top gym. I remember having the puck and moving up the left side of the court, heading towards the goal. I think I was tripped by some other sticks, or maybe a leg, and falling head-first to the floor, bouncing my forehead off the concrete and tile. I also remember a class-mate named Randy was running behind me, trying to catch me on the play. Randy was the biggest kid in the school, no matter what grade. Over six-feet tall and over one-hundred pounds already, he wasn’t able to hold-up after I fell. He tripped and fell on top of me, bouncing my head off the floor split-seconds after it had already struck it the first time. I don’t remember getting from the floor of the gym to the principle’s office. I barely remember being told my step-dad was on his way to pick me up and take me home. The ride home, about a mile and a half, was fuzzy at best. Getting home I remember my step-dad had to half-carry me inside to our small den, where he laid me down on the loveseat, covered me with a blanket and told me to take it easy. I have sporadic, disconjugated memories of the next two days. I slept the whole time, waking briefly to hear bits of conversation coming from the other room or to see my mom or step-dad leaning over me saying something. That I remember I didn’t eat or get up to go to the bathroom, although I’m guessing I must have at least done the latter at some point. My parents never took me to the doctor. It was the mid-eighties and not much was known about concussion or traumatic brain injury. Certainly not by parents of the time, unlike today. Concussion was just another way of saying, “he got his bell rung”, and didn’t warrant anything more than a little time to recover, a slap on the butt and a “get back in there” from your coach. Today, of course, we know much more about the causes, symptoms and cumulative effects of concussion. But back then it just wasn’t a big deal. So I slept for two days and when I was either forced or felt well enough to get up (I don’t remember what the circumstances were), I resumed life like nothing had happened. Back to school. Back to basketball and baseball. Back to playing with friends. That was the first of what I’m guessing to be six or more concussions I’ve suffered over the years.

According to the Mayo Clinic concussion is, “a traumatic brain injury that alters the way your brain functions. Effects are usually temporary, but can include problems with headache, concentration, memory, judgment, balance and coordination.” Concussion occurs when the head is struck violently or shaken very hard and the brain slams into the skull, causing injury. Contrary to popular belief losing consciousness is not necessary to suffer a concussion. The brain can sustain a severe enough injury to be concussed without the patient actually losing consciousness. This is the least severe of the three grades of concussion. While there is no universal consensus on the grading of concussions there are two scales that are most commonly used in the United States; the Cantu scale and the Standardized Assessment of Concussion.

The Cantu Scale was developed by Dr. Robert Cantu in 1986 and was adopted by the American College of Sports Medicine. In 1991 the Colorado Medical Society developed its own guidelines after several deaths of High School football players after suffering brain injuries. These guidelines were more restrictive than Dr. Cantu’s and were then adopted by the NCAA for evaluating college athletes. Whether it be the Cantu scale or the CMS scale they share four general evaluations. 1) presence or absence of loss of consciousness, 2) duration of loss of consciousness, 3) duration of post traumatic memory loss, and 4) persistence of symptoms including headache, dizziness and lack of concentration. When the results of these evaluations are determined the concussion can then be graded.

Grade I:  concussions are not associated with loss of consciousness, and post-traumatic amnesia is either absent or      less than 30 minutes in duration. Athletes may return to play if no symptoms are present for one week.

Grade II:  concussions in which the patient loses consciousness for less than five minutes or exhibits posttraumatic amnesia between 30 minutes and 24 hours in duration. They also may return to play after one week of being asymptomatic.

Grade III:  concussions involve post-traumatic amnesia for more than 24 hours or unconsciousness for more than five minutes. Players who sustain this grade of brain injury should be sidelined for at least one month, after which they can return to play if they are asymptomatic for one week.

Post-concussive Syndrome can occur in the days, weeks, months and even years after a patient suffers a concussion. PCS is the presence and on-going problematic occurrences of the signs and symptoms of concussion after what should have been the “normal” healing time. Symptoms include memory and concentration problems, mood swings, personality changes, headache, fatigue, dizziness, insomnia and excessive drowsiness. While no one knows for certain it is thought that the symptoms and problems associated with PCS contributed to the suicides of both Seau and Duerson. Dealing with these symptoms on a day-to-day basis became too much for them to bare and the only way they saw to be at peace was taking their own lives. But they were football players with lengthy careers in one of the most violent sports played. What could they possibly have in common with us?

I think we would all agree that the profession of firefighting and the delivery of EMS care has countless opportunities for us to suffer head injuries. From collapses at structure fires, to falls off the rig or a ladder, to encounters with violent patients there is ample opportunity for us to suffer a concussion. In the span of my career I can think of at least three times I personally believe I have suffered a concussion as a direct result of the job. I’m sure there are many of you who firefighter c-collarcould think of one or more times when you “had your bell rung” hard enough that you saw stars, became unsteady or even lost consciousness. These occurrences are severe enough to cause a concussion and warrant an evaluation. If you are suffering from the continued symptoms of what you believe to be a concussion suffered in the past you can still be evaluated presently despite the length of time since the injury. The exam will be subjective and based upon the history of the event and the symptoms you suffered or are continuing to suffer from. According to the United States Fire Administration report Fire-Related Firefighter Injuries Reported to NIFRS released in 2011, 15% of the 81,070 injuries suffered by firefighters between 2006 and 2008 (the time-period of the study) were head injuries. That’s 12,160.5 head injuries suffered. Divided by the three years of the study equals an average of 4,053.5 head injuries per year. That’s a lot in my book. Are all of them concussions or possible concussions? Probably not. But I’d be willing to bet that a large enough number of them warrant an evaluation for concussion and the possibility of on-going problems after.

As with Junior Seau and Dave Duerson repeated concussion, or a single severe enough event of concussion, can lead to a life time of disabilities and mental health issues. Depression is just one such mental health issue associated with concussion injuries and its associated syndromes. As we all know the issue of firefighter depression and firefighter suicide has been a significant topic of late and one which needs to be talked about openly and honestly. The days of “just suck it up and deal with it” are long over. The days of shrugging off the splitting headaches and continued dizziness because “you’re tougher than that” need to be left in the past too. We have enough on this job that can kill or lead to permanent disability, don’t let this be added to your list too.

Until next time,

Be safe.

Chris